inputs
0.002 / 9
<secondary_problem>GASTROINTESTINAL
0.0 / 9
</secondary_problem>
<secondary_problem>ESOPHAGEAL
0.004 / 7
VARICES</secondary_problem>
<secondary_problem>
-0.007 / 10
IMPAIRED SKIN INTEGRITY
-0.002 / 10
</secondary_problem>
<secondary_problem>PAIN CONTROL
-0.01 / 13
(ACUTE PAIN, CHRONIC PAIN)
0.001 / 7
</secondary_problem>
<secondary_problem>ALTERED
0.016 / 7
</secondary_problem>
<secondary_problem>SEPSIS,
0.001 / 12
(WITH ORGAN DYSFUNCTION)
-0.019 / 8
</secondary_problem>
<primary_problem>ALTERATION IN
-0.012 / 7
</primary_problem>
<secondary_problem>ASCITES
-0.004 / 4
</secondary_problem>
<primary_problem>
0.008 / 9
OTHER</primary_problem>
<secondary_problem>ACUTE
-0.005 / 13
RESPIRATORY DISTRESS SYNDROME
-0.006 / 11
ACUTE LUNG INJURY,
-0.003 / 9
[**Doctor Last Name 2**
0.004 / 14
])</secondary_problem>
<secondary_problem>CIRRHOSIS OF LIVER,
-0.001 / 12
ALCOHOLIC</secondary_problem>
COAGULOPATHY
0.0 / 15
RASH
40 yo F with <secondary_problem>cirrhosis
-0.007 / 19
</secondary_problem> [**1-24**] <secondary_problem>hep C</secondary_problem>, <secondary_problem>COPD</secondary_problem>,
0.002 / 14
<secondary_problem>depression</secondary_problem> who presents with
<primary_symptom>abdominal pain</primary_symptom>,
0.007 / 19
<primary_symptom>nausea</primary_symptom>, <primary_symptom>vomiting</primary_symptom>, <primary_sign>melena</primary_sign>,
0.008 / 21
<primary_symptom>breast pain</primary_symptom> and a <primary_symptom>rash</primary_symptom>,
<primary_symptom>broken ribs</primary_symptom>.
0.017 / 35
<secondary_problem>Respiratory failure</secondary_problem>, <secondary_problem>DIC</secondary_problem>, <secondary_problem>sepsis</secondary_problem>, <secondary_problem>hepatic failure</secondary_problem> and
<primary_problem>altered mental status</primary_problem> primary issues at present.
0.006 / 18
Impression: <primary_problem>Liver failure</primary_problem> complicated by <secondary_problem>coma</secondary_problem>,
0.007 / 18
<secondary_problem>coagulopathy</secondary_problem> and <primary_sign>gastric
varices</primary_sign> that are now bleeding.
0.006 / 5
Prognosis very poor.
0.005 / 13
Will meet with
family today to discuss goals of care.
0.009 / 16
\n\n<\s><\s># <problem>Rib
0.007 / 14
Fractures/Trauma</problem>
Etiology unclear.
0.006 / 5
Ecchymoses on exam
0.006 / 13
(shoulder and back). Possible
neck trauma,
0.005 / 5
unable to assess pain.
-0.013 / 13
Trauma was consulted in ED.
Possible history of abuse.
-0.004 / 8
Nothing to do for now.
0.01 / 8
- Pain control with fentanyl
0.003 / 8
- Social work consult when awake
0.001 / 5
further history when able